| Sign up for 2023 Medical, Dental or Vision Coverage Decide who will be covered. If needed, provide Marriage License and/or Child(ren) Birth Certificate(s). |
Complete a benefit enrollment form.
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| Waive your ShopRite benefits. |
Select the waiver option on the benefit enrollment form.
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| Optional Flexible Spending (FSA) Health Care or Dependent Care. |
Select the FSA option on the benefit enrollment form.
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| Long Term Disability Benefits (LTD) - How do you want to receive your benefit? |
Complete the LTD enrollment form.
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| Basic Life Insurance |
Complete the basic life insurance enrollment form.
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| Optional Life Insurance |
Complete the optional life insurance enrollment form.
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